NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
The nurse is planning dietary changes for a client following an episode of acute pancreatitis. Which diet is suitable for the client?
Correct Answer: B
Rationale: A high-calorie, low-fat diet supports recovery from pancreatitis by reducing pancreatic stimulation while meeting energy needs. High-fat diets exacerbate symptoms, and low-calorie diets are inadequate.
Question 2 of 5
The nurse is assessing the client with metabolic alkalosis. Which findings would likely be observed in this client?
Correct Answer: B, C, E, F
Rationale: Metabolic alkalosis results from excess bicarbonate or loss of acids (e.g., from vomiting). Vomiting and nausea (
C) are common causes. Numbness (
B), circumoral paresthesia (E), and hypertonic muscle contractions (F) occur due to hypocalcemia from alkalosis. Kussmaul’s respirations (
A) are associated with metabolic acidosis, and warm flushed skin (
D) is unrelated.
Question 3 of 5
A client with diabetes asks the nurse for advice regarding methods of birth control. Which method of birth control is most suitable for the client with diabetes?
Correct Answer: A
Rationale: An intrauterine device (IU
D) is safe and effective for women with diabetes as it does not affect glucose metabolism. Oral contraceptives may worsen glycemic control and diaphragms/sponges require spermicides that increase infection risk in diabetics.
Question 4 of 5
The therapeutic blood-level range for lithium is:
Correct Answer: B
Rationale: This range is too low to be therapeutic. This is the therapeutic range for lithium. This range is above the therapeutic level. This range is toxic and may cause severe side effects.
Question 5 of 5
Which instruction should be given to the client who has been prescribed a dry powder inhaler for treatment of COPD?
Correct Answer: A, D, E
Rationale: Dry powder inhaler use involves removing the cap and shaking (
A), placing the mouthpiece in the mouth (
D), and weekly dry cleaning (E). Rinsing (
B) risks moisture damage, and spacers (
C) are typically for metered-dose inhalers.